Tummy tuck (TT) safety with Factor V Leiden and Prothrombin (Factor II) G20210A mutations - is a full tummy tuck safe for me?
June 4, 2025
Asked By:Brave927373 in Sachseln, Obwalden, Switzerland
I am a 42-year old white female with double heterozygous inheritance of Factor V Leiden and Prothrombin (Factor II) G20210A mutations. I have never had a clot. I was on birth control for years and had 4 pregnancies without any issues (no C-sections). I found out about the mutations from a genetics test; the results were confirmed by a hematologist. I would like to get a TT to fix my diastasis recti (2.7cm) and loose skin (mostly below the navel but some above). The hematologist cleared me for surgery as long as I take blood thinners. My GP agreed. But two surgeons have given me conflicting opinions. One will do the full TT surgery and the other will not. The surgeon who will not do the full TT surgery has recommended a mini TT without pliation and with liposuction 360, as well as Renuvion for the upper abdomen skin. The surgeon who agreed to do the full TT did not recommend liposuction. I’m asking if (1) other surgeons agree that I am too high risk for a full abdominoplasty and should not do it and (2) if the mini/lipo/renuvion combination makes sense and will still provide somewhat good results (the surgeon I consulted with stated there would be 50% improvement so my expectations are not sky-high). Both surgeons told me that the full TT would normally be advised for best results, so I am afraid to get the mini TT and then regret it - trying to decide if I should just live with my body the way it is if the full TT is not a safe option for me.
Answers (2)
From board-certified doctors and trusted medical professionals
I am sorry to hear about your experience in the past! correcting issues from poorly performed liposuction can be challenging. Trying to treat this with liposuction alone is unlikely to give you a result that you are happy with. Due to the degree of irregularities that extend along the length of...
Got it — you had a tummy tuck 2 years ago, but now you’re dealing with stubborn love handles and some loose skin that won’t respond to exercise. Here’s a breakdown of the best options to address that:
1. Liposuction
• Removes excess fat deposits in targeted areas like love handles.
• Since ...
There does seem to be loose skin that can possibly be fixed with a reverse tummy tuck, however, it would be best to also see what the condition of the skin is for your lower abdomen, in a lot of cases when doing a regular tummy tuck when they pull downward the upper skin is also pulled down and...